Medical Billing Companies & Consultants in Lewes, DE

eClaim Solution is a revenue cycle management company serving medical practices across the United States. It was founded in 2018 and is based in Lewes, Delaware. The firm handles billing, coding and payer enrollment so clinicians can concentrate on patients rather than paperwork. Its stated mission is to make healthcare billing simpler and help practices grow.

Services and Approach

The company offers an end-to-end outsourced model that covers the administrative side of a practice, starting at patient scheduling and running through to final payment. Its team verifies eligibility, applies codes, submits claims and pursues denied or unpaid ones. A practice can hand over the complete cycle or choose only the pieces it needs. Available services include:

• Medical billing and full revenue cycle management
• Medical coding
• Eligibility and benefits verification
• Prior authorization support
• Denial management and accounts receivable recovery
• Payment posting
• Medical and physician credentialing
• Medical billing audits
• Chronic care management and laboratory billing
• Healthcare marketing

Two introductory offers are advertised. One is a complimentary billing audit meant to uncover errors and missed revenue. The other is free credentialing assistance aimed at getting practices enrolled with payers more quickly.

Specialties and Practice Types

eClaim Solution says it supports more than 40 specialties, and it has dedicated pages for many of them. These include mental and behavioral health, nephrology, radiology, rehabilitation therapy, orthopedics, urgent care, telehealth, family practice, wound care, cardiology, oncology, urology, pediatrics, chiropractic, surgery, dermatology, anesthesia, endocrinology, osteopathic medicine, podiatry and speech therapy.

The firm organizes its offering by practice size as well. It addresses solo providers, small practices, group practices, and hospitals and health systems, and it has an enterprise billing track for large organizations. Although its site highlights several states by name, it states that it works with clients nationwide.

Tools and Software

Visitors can use two online calculators. The first approximates what a patient will owe in co-pays, deductibles and other out-of-pocket costs. The second gives a practice a rough idea of the expense of billing services. The company is also building three software products and has opened waiting lists for each: a credentialing management platform, a tool for prior authorization requests, and one that estimates patient financial responsibility to make payments more transparent.

Reported Results

The company reports that over 500 practices rely on it and that it employs more than 1,000 certified billers and coders. It cites a clean claim rate of 98 percent and average revenue growth of 30 percent among clients. These figures are the company's own claims, so prospective clients may want to request references or supporting data.

It also promises a reply to inquiries within one business hour. For learning, its website provides a blog on billing and revenue cycle topics and a glossary that explains billing terminology in plain language.